Table 1.
Characteristic | No. (%) | ||
---|---|---|---|
Arthritis-irAEa, n = 20 | Osteoarthritis, n = 4 | No-irAEs, n = 9 | |
Median age (range) | 56.5 years | 60.5 years | 62 years |
(34–77) | (57–64) | (47–77) | |
Male | 14 (70) | 2 (50) | 5 (56) |
Median BMI (range) | 28.7 | 31.2 | 30.8 |
(21.7–37.9) | (29.6–31.6) | (22.4–33.7) | |
Tumor type | |||
Melanoma | 11 (55) | 1 (25) | 6 (67) |
RCC | 4 (20) | 0 (0) | 0 (0) |
NSCLC | 4 (20) | 1 (25) | 3 (33) |
Neuroendocrine | 1 (5) | 2 (50) | 0 (0) |
ICI(s) | |||
Nivolumab | 6 (30) | N/A | 6 (67) |
Pembrolizumab | 4 (20) | N/A | 1 (11) |
Durvalumab | 1 (5) | N/A | 1 (11) |
Ipilimumab + nivolumab | 6 (30) | N/A | 1 (11) |
Ipilimumab + pembrolizumab | 3 (15) | N/A | 0 (0) |
CTCAEc grade II–IV irAEs prior to the arthritis | |||
Colitis | 7 (35) | N/A | N/A |
Dermatitis | 4 (20) | N/A | N/A |
Myocarditis | 1 (5) | N/A | N/A |
Type I diabetes mellitus | 1 (5) | N/A | N/A |
Hypothyroidism | 1 (5) | N/A | N/A |
Neuritis | 1 (5) | N/A | N/A |
Pattern of arthritis | |||
Undifferentiated monoarthritis | 3 (15) | N/A | N/A |
Undifferentiated oligoarthritis | 13 (65) | N/A | N/A |
Undifferentiated polyarthritis | 4 (20) | N/A | N/A |
Median time from first ICI infusion to development of arthritis (range) | 35.5 weeks | N/A | N/A |
(0.5–365) | |||
Stopped ICI therapy before development of arthritis | 6 (30) | N/A | N/A |
Colitis-irAE | 1 (5) | N/A | N/A |
Myocarditis-irAE | 1 (5) | N/A | N/A |
Neuritis-irAE | 1 (5) | N/A | N/A |
Tumor progression | 2 (10) | N/A | N/A |
Completion of ICI therapy | 2 (10) | N/A | N/A |
Arthritis-irAE CTCAE grade | N/A | N/A | |
II | 16 (80) | N/A | N/A |
III | 4 (20) | N/A | N/A |
Median CDAId (range) | 21.5 (7–60) | N/A | N/A |
Median ESRe (range) | 53 mm/h | 8 mm/h | N/A |
(8–108) | (7–9) | ||
Median CRPf (range) | 80.0 mg/L | 3.5 mg/L | N/A |
(2.0–300) | (1.3–5.8) | ||
ANA-positiveg | 3 (16) | N/A | N/A |
RF-positive | 2 (10) | N/A | N/A |
Anti-CCP antibody–positiveg | 0 (0) | N/A | N/A |
HLA B27-positiveg | 1 (5) | N/A | N/A |
aAbbreviations: irAEs immune-related adverse events, BMI body mass index, RCC renal cell carcinoma, NSCLC non-small cell lung carcinoma, ICI immune checkpoint inhibitor, N/A not applicable, CTCAE common terminology criteria for adverse events, CDAI clinical disease activity index, ESR erythrocyte sedimentation rate, CRP C-reactive protein, ANA anti-nuclear antibody, RF rheumatoid factor, CCP cyclic citrullinated peptide.
bOther cancers included ovarian cancer (n = 1), breast cancer (n = 2), glioblastoma (n = 1), cervical cancer (n = 1), and neuroendocrine tumor (n = 1).
cCTCAE grades range from I to V, with higher values indicating more severe.
dValues of CDAI range from 0 to 76, with higher values indicating more active inflammatory arthritis.
eNormal values of ESR range from 0 to 20 mm/h.
fNormal values of CRP range from 0 to 10 mg/L.
gn = 19 in the arthritis-irAE group.